Sensky T, Hughes T, Hirsch S
Department of Psychiatry, Charing Cross and Westminster Medical School.
Br J Psychiatry. 1991 Jun;158:792-9, 804. doi: 10.1192/bjp.158.6.792.
Following in-patient psychiatric treatment under Section 3 of the Mental Health Act, some patients have in the past remained on Section after discharge, and subsequently the Section has been renewed while the patient remained 'on leave'. People treated thus with 'extended leave' probably resemble closely those who would be placed on a community treatment order if this were available. A group of these extended-leave patients was compared with a control group, matched for age, sex and diagnosis, selected by consultant psychiatrists as not requiring treatment using a community treatment order. The two groups showed very few differences, but the extended-leave patients more commonly had a history of recent dangerousness and non-compliance with psychiatric treatment. Use of extended leave improved treatment compliance, reduced time spent in hospital, and reduced levels of dangerousness.
根据《精神健康法》第3条接受住院精神科治疗后，过去有些患者出院后仍处于该条规定的状态，随后在患者“休假”期间该条规定被延续。以这种方式接受“延长休假”治疗的患者可能与那些如果有社区治疗令就会被下达该命令的患者非常相似。将一组此类延长休假患者与一个对照组进行比较，对照组在年龄、性别和诊断方面相匹配，由顾问精神科医生选定为不需要使用社区治疗令进行治疗。两组之间差异极小，但延长休假患者更常有着近期危险行为和不配合精神科治疗的病史。延长休假的使用提高了治疗依从性，减少了住院时间，并降低了危险程度。
